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Organization

GREGORY N DAY DDS ORAL SURGURY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY NELSON DAY DDS/OMS (OWNER/ORAL SURGEON)
(719) 561-2440
Entity
Organization

Contact information

Practice address
3902 SANDLEWOOD LN, SUITE 110, PUEBLO, CO 81005-7501
(719) 561-2440
(719) 561-0612
Mailing address
3902 SANDLEWOOD LN, SUITE 110, PUEBLO, CO 81005-7501
(719) 561-2440
(719) 561-0612

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6563
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08328544
CO
Enumeration date
02/22/2008
Last updated
02/29/2008
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